Jitendra B. Pandya, MBBS

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

28311 Issued in NE

Practice address

4239 Farnam St Ste 100
Omaha, NE 68131-2858

Phone

(402) 552-2320

Fax

(402) 552-2330

NPI assigned

Jul 3, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, NE2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Cardiology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Unmc PhysiciansGroup PAC ID 6002728391, 1,490 clinicians

Haysam Akkad, MD, PCGroup PAC ID 2466506142, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Nebraska Medical Center Hospital, Omaha, NE, CCN 280013
• Bellevue Medical Center Hospital, Bellevue, NE, CCN 280132
• Crawford County Memorial Hospital Hospital, Denison, IA, CCN 161369
• Manning Regional Healthcare Center Hospital, Manning, IA, CCN 161332

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Haysam Akkad, MD, PC

  dba Clarkson Heart Center

  • Interventional Cardiology Physician
  • Omaha, NE
  • NPI 1023258795

  IA

  Medicare reassignment Care Compare group NPD
• Unmc Physicians

  • Multi-Specialty Clinic/Center
  • Omaha, NE
  • NPI 1417912114

  IA

  Medicare reassignment Care Compare group NPD
• Manning Regional Healthcare Center

  • Family Medicine Physician
  • Manning, IA
  • NPI 1306969175
  Medicare reassignment NPD
• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141
  Medicare reassignment NPD
• Manning Regional Healthcare Center

  dba Manning Regional Healthcare Clinic

  • Rural Health Clinic/Center
  • Manning, IA
  • NPI 1528362910
  NPD
• Alegent Creighton Clinic

  dba CHI Health Clinic

  • Family Medicine Physician
  • Council Bluffs, IA
  • NPI 1598811069

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bellevue Medical Center LLC

  dba Bellevue Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Bellevue, NE
  • NPI 1609007525
  Care Compare affiliation
• The Nebraska Medical Center

  dba The Nebraska Medical Center - Nebraska Medicine

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1356307581
  Care Compare affiliation
• Crawford County Memorial Hospital

  • Critical Access Hospital
  • Denison, IA
  • NPI 1578555116
  Care Compare affiliation
• Manning Regional Healthcare Center

  • Critical Access Hospital
  • Manning, IA
  • NPI 1467509141
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1528355138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312858",
            "telephone_number": "402-552-2320",
            "fax_number": "402-552-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 FARNAM ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312858",
            "telephone_number": "402-552-2320",
            "fax_number": "402-552-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "JITENDRA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "MBBS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-03",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "28311",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "TEP 6512",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NE",
            "license": "28311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breana Pancake
• Panchals Investment Group LLC (Platinum Chiropractic and Wellness)
• Sakar Pandey, MBBS
• Taruni Reddy Pandhiri, MD
• Pando Geriatric Counseling, PC
• Jenna Michael Pane
• Briana Panebianco
• Huiling N Pang, MD
• Michael Stephen Panganiban, M.D.
• Yessica Paniagua Vazquez

• Interventional Cardiology Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Interventional Cardiology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.